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在初级保健中儿童低保险:基于实践的研究
Brooklynne A S Dilley-Maltenfort1, Samantha A Roberts1, Serena K Kaul1
1Department of Pediatrics, Wright State University Boonshoft School of Medicine, Dayton, OH 45435, USA.
在俄俄州,大约9分之一的儿童没有足够的保险,面临着获得护理的挑战,并经历了COVID-19的负面影响. 父母的教育和私人保险与这种不足的保险有关.
科学领域:
- 儿科健康 儿科健康
- 医疗保健服务研究 医疗服务研究
- 公共卫生 公共卫生
背景情况:
- 儿童医疗保险覆盖非常重要,但在美国,不足的保险仍然存在.
- 低保险严重影响儿童获得医疗保健和整体福祉.
- 随着COVID-19大流行,儿童获得医疗保健的现有挑战加剧了.
研究的目的:
- 确定俄俄州西南部儿童不足保险的流行情况.
- 在COVID-19大流行期间识别与童年不足保险相关的因素.
- 探索不足保险对医疗保健和儿童健康状况的影响.
主要方法:
- 1252名儿童 (6个月至18岁以下) 和他们的主要照顾者 (PCG) 的横截面研究.
- 通过儿科实践中儿童医疗费用调查 (MEoCS) 收集的数据.
- 低保险是由PCG报告的负担不起医疗保险所建议的护理能力所定义的;使用千平方测试和后勤回归分析.
主要成果:
- 11.3%的儿童没有足够的保险.
- 低保险儿童的PCG报告说,获得护理的困难明显更大 (41.5%与9.5%相比).
- 缺乏保险的儿童家庭报告了COVID-19对收入,学校成绩和心理健康的影响更大.
结论:
- 在这项研究中,近九分之一的儿童没有足够的保险.
- 较低的父母教育和私人医疗保险成为不足保险的相关因子.
- 解决不足保险问题对于改善儿童健康结果和公平获得医疗保健至关重要.
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